240677 Ensuring Health Equity for Asian Americans, Native Hawaiians & Pacific Islanders through Healthy People 2020 & the Affordable Care Act

Tuesday, November 1, 2011: 3:20 PM

Kathy Lim Ko, MS , Asian & Pacific Islander American Health Forum (APIAHF), San Francisco, CA
Won Kim Cook, PhD , Research, Evaluation & Data Division, Asian & Pacific Islander American Health Forum, San Francisco, CA
Priscilla Huang, JD , Policy Division, Asian & Pacific Islander American Health Forum, Washington, DC
Charmaine Manansala, MPH , Asian & Pacific Islander American Health Forum, San Francisco
Mee Moua, JD , Asian & Pacific Islander American Health Forum, Washington
According to Healthy People 2020, health equity occurs when all people have the opportunity to achieve their full health potential and no one is disadvantaged from achieving this potential because of their socially determined circumstance. While the Affordable Care Act (ACA) expands health care coverage and affordability for Asian Americans, Native Hawaiians, and Pacific Islanders (AAs and NHPIs), there are limits expanding health care coverage for these populations. Due to the well-documented ethnic, linguistic, and socioeconomic diversities among AAs, and also between AAs and NHPIs, some subgroups are likely to face greater barriers than others in accessing health care under the ACA. ACA's failure to mandate coverage for all employers may disproportionately affect AAs and NHPIs, many of whom work in small businesses that are exempt from the mandate. State-based health benefit exchanges, intended to provide qualified coverage for such individuals, may be underutilized by AAs and NHPIs with limited English proficiency. Moreover, the ACA may further exclude some immigrants and their children from accessing health care including AAs and NHPIs subject to the “five-year bar” that restricts lawful permanent residents from accessing public health insurance programs and the prohibition on undocumented immigrants from buying coverage in the insurance exchanges. The promise of health care reform will not be fulfilled without comprehensive immigration reform, or a lift on the restrictions that unfairly deny newer legal immigrants access to health care. We will propose how national and local organizations representing diverse groups might work together to address common challenges.

Learning Areas:
Administration, management, leadership
Diversity and culture
Provision of health care to the public
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Discuss how some subgroups of Asian Americans, Native Hawaiians, and Pacific Islanders may face greater barriers than others in accessing healthcare, even with the expanded coverage and affordability intended by the Affordable Care Act (ACA). 2. Demonstrate how the ACA may increase barriers in accessing healthcare for some immigrants, both documented and undocumented. 3. Formulate strategies to address those barriers to ensure health equity for all (e.g., Healthy People 2020, the National Partnership for Action, etc.)

Keywords: Asian and Pacific Islander, Health Reform

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None

Qualified on the content I am responsible for because: I oversee a national organization that mobilizes communities, strengthens programs and organizations to improve the health of Asian American, Native Hawaiian, and Pacific Islander communities nationally. We address health disparities in Asian American, Native Hawaiian, and Pacific Islander communities and work with community advocates, public health leaders and policymakers to generate policy and systems changes that benefit our communities at the national, state and local levels. APIAHF policy work focuses on: expanding access to health care; improving the quality of health care through cultural competency, language access and diverse workforce; and increasing research and improving data collection about the health issues faced by our communities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.